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Zahratul Aini
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JKKI : Jurnal Kedokteran dan Kesehatan Indonesia
Published by Universitas Islam Indonesia
ISSN : 20854145     EISSN : 25272950     DOI : 10.208885/JKKI.Vol10.Iss3.art5
Core Subject : Health,
Medicine & Pharmacology Public Health
JKKI: Jurnal Kedokteran dan Kesehatan Indonesia is a peer-reviewed journal in the field of medical and health sciences. This journal is designed as a place of dissemination of information and scientific knowledge, which publishes three times a year. It publishes original article, article review, and case report. These comprise of biomedical sciences, clinical medicine, public health sciences, and medical science education.
Arjuna Subject : Kedokteran - Kedokteran Keluarga
Articles 468 Documents
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HASIL FUNGSIONAL PADA OSTEOARTRITIS LUTUT SETELAH INTERVENSI PROLOTERAPI DEKSTROSA: STUDI PILOT BERBASIS KEPARAHAN Yose Waluyo; Sari Rajwani Artika; Insani Nanda Wahyuni; Endy Adnan; Budu; Agussalim Bukhari
JKKI : Jurnal Kedokteran dan Kesehatan Indonesia JKKI, Vol 14, No 1, (2023)
Publisher : Faculty of Medicine, Universitas Islam Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20885/JKKI.Vol14.Iss1.art8

Abstract

Background: Osteoarthritis currently remains a significant health problem due to its high prevalence and morbidity rate. Radiological examination is still used as a gold standard to determine the severity of knee osteoarthritis by using Kellgren-Lawrence grading. Dextrose prolotherapy has been known to be effective in treating pain in knee osteoarthritis, but none has compared the efficacy between mild and moderate-severe knee osteoarthritis. Objective: This study aims to compare the effectiveness of prolotherapy based on its radiological and symptomatic severity in knee osteoarthritis.Methods: In this pre-post study, the participants who underwent dextrose prolotherapy injection (25% intra-articular and 15% periarticular) for three sessions with four weeks intervals were grouped into mild (grade 1-2) and severe (grade 3-4) groups. Participants’ functional status was measured with Western Ontario and McMaster Universities’ arthritis index scores at baseline and week 12.Results: A total of 21 patients (average age 61.42 ± 8.33, BMI 26.81± 3.72) received three therapy sessions. Both groups had significantly better Western Ontario and McMaster Universities arthritis index scores than baseline (-22.57± 11.9; p = 0.002 and -15.42 ± 15.75; p = 0.003). All parameters were improved significantly (p <0.05) in both groups, except the stiffness score (p = 0.292; p = 0.057). There were no differences in functional outcome improvements in both groups (p > 0.05; CI 95%: -21.3 – 7.05).Conclusion: Prolotherapy effectively improves functional outcomes in all stages of knee osteoarthritis.
Analysis of C-reactive protein/albumin ratio as a predictor of mortality in sepsis patients Uswatun Hasanah; Irda Handayani; Asvin Nurulita
JKKI : Jurnal Kedokteran dan Kesehatan Indonesia JKKI, Vol 14, No 1, (2023)
Publisher : Faculty of Medicine, Universitas Islam Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20885/JKKI.Vol14.Iss1.art4

Abstract

Background: Sepsis is a leading cause of death among critically ill patients with infections. Abnormal levels of C-reactive protein (CRP) and albumin in sepsis patients have been shown to predict mortality. Combining the two markers can increase the predictive value of mortality.Objective: The aim of this retrospective cohort study was to determine the cut-off value for the CRP/albumin ratio that could be used to predict mortality in patients with sepsis. Methods: Secondary data from 63 medical records of sepsis patients treated in the ICU of RSUP dr. Wahidin Sudirohusodo Makassar from January 2018 to December 2020 was used. Statistical analysis was performed using the Kolmogorov-Smirnov and Mann-Whitney tests. The prognostic value of the CRP/albumin ratio was analyzed using the ROC curve to obtain a cut-off value. A p-value < 0.05 was considered significant. Results: The sample included 43 deceased and 20 living patients with sepsis. The CRP/albumin ratio was significantly higher in the deceased patients (15.4) than in the living patients (2.4) (p<0.001). The ROC curve analysis revealed a CRP/albumin cut-off value of 4.3 with a sensitivity of 81.4%, specificity of 75.0%, positive predictive value (PPV) of 87.5%, negative predictive value (NPV) of 65.2%, and an accuracy of 79.4%. Conclusion: The study suggests a significant relationship between the CRP/albumin ratio and mortality in patients with sepsis. A CRP/albumin ratio of 4.3 can be used as a predictor of mortality in sepsis patients.
Successful systemic propranolol treatment for periocular capillary hemangioma in Indonesian infant girls: A case series Neni Anggraini; Mutmainah
JKKI : Jurnal Kedokteran dan Kesehatan Indonesia JKKI, Vol 14, No 1, (2023)
Publisher : Faculty of Medicine, Universitas Islam Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20885/JKKI.Vol14.Iss1.art15

Abstract

Capillary hemangioma (CH) is the most prevalent benign tumour in children. Most cases showed spontaneous involution without any intervention. However, approximately 10% of all CH patients require treatment. Most cases of periocular capillary hemangioma (PCH), especially orbital form, risk significant morbidity; therefore, aggressive treatment is needed. Studies showed a superior outcome of systemic propranolol for CH compared to standard therapy (corticosteroids). We present cases with different PCH types successfully treated with systemic propranolol. Five patients with different types of PCH were given systemic propranolol. One patient presented with a lesion at birth, while others were less than ten months of age. Oral propranolol was given at 0.5 mg/kg body weight (BW) as the initial dose for two weeks. The dose was gradually increased to 2.0 mg/kg BW within 1-18 months of treatment. All patients showed sufficient initial responses regarding mass reduction and colour change within 2-12 weeks. No complications or adverse effects were observed. The regimen of 2.0 mg/kg BW systemic propranolol treatment was considered safe and beneficial for PCH.
ANALISIS FAKTOR SOSIAL DEMOGRAFI DAN ANEMIA DENGAN KEJADIAN SBORTUS SPONTANEA Farikha Dewi Larasati; Sri Winarni; Atik Mawarni; Farid Agushybana
JKKI : Jurnal Kedokteran dan Kesehatan Indonesia JKKI, Vol 14, No 1, (2023)
Publisher : Faculty of Medicine, Universitas Islam Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20885/JKKI.Vol14.Iss1.art5

Abstract

Background: Abortion is associated with 4.7% to 13.2% of maternal deaths. In the Brebes Regency, spontaneous abortion incidence was 15% in 2014, which various factors may cause.Objective: This study aims to analyse the association between maternal age, education level, employment status, and haemoglobin (Hb) levels with the incidence of spontaneous abortion.Methods: This study was a quantitative study using a case-control design. The study comprised a sample of 78 females of childbearing age, including 39 cases and 39 controls. The study utilised questionnaires and blood tests as instruments for data collection. The collected data were analysed using frequency distribution tables and statistical tests, including Chi-Square continuity correction.Results: The results demonstrated that Hb levels were associated with spontaneous abortion (p=0.028). Meanwhile, maternal age (p=1.000), education levels (p=1.000), and employment status (p=0.485) were not associated with spontaneous abortion. Respondents with low Hb levels have a six times greater risk of having a spontaneous abortion than respondents with normal Hb levels (OR=6.379)Conclusion: Low Hb level was a risk factor for spontaneous abortion. Women of childbearing age need to take iron supplements before and during their pregnancy to prevent the dangers of anaemia during pregnancy.
Analysis of hematological parameters in bladder cancer in early and advanced stages at Dr. Sardjito Hospital Hidayu Permata Hardi; Indrawarman Soerohardjo; Ahmad Zulfan Hendri
JKKI : Jurnal Kedokteran dan Kesehatan Indonesia JKKI, Vol 14, No 1, (2023)
Publisher : Faculty of Medicine, Universitas Islam Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20885/JKKI.Vol14.Iss1.art2

Abstract

Background: Bladder cancer (BC) is the tenth most common cancer in both males and females. Early detection can improve the patient's chances of survival, giving patients with BC a good prognosis. The hematological parameter determines the number of leukocytes, hemoglobin, platelets, and Neutrophil-Lymphocyte Ratio (NLR) in the body. The presence of abnormal values on hematological parameters indicates that the patient is in poor condition.Objective: This study aims to compare hematological parameters between early-stage and advanced BC at Dr. Sardjito Hospital.Methods: This study was a retrospective cross-sectional study using patient medical records. By using the results of the anatomical pathology, pre-operative hematology evaluated the influence on the bladder cancer stage. The sample used consisted of 130 bladder cancer patients. Chi-square and regression statistical tests were used to analyze the collected data.Results: The advanced-stage group had considerably higher leukocytosis than the early-stage group (p = 0.000). Anemia predominated more in the later-stage group than in the earlier stage (p = 0.048). Additionally, the advanced-stage group experienced thrombocytosis more frequently than the early-stage group (p = 0.000). NLR was higher in the advanced compared to the early-stage group (p = 0.000).Conclusion: Patients with advanced bladder cancer were more likely to experience abnormal hematological parameters levels than those with the earliest stages of the disease.
EFEK KARDIOMETABOLIK GLUKOSA TINGGI, ASUPAN KUNING TELUR, PEMBATASAN KALORI, DAN PENCEMARAN UDARA PADA TIKUS Diniwati Mukhtar; Aan Royhan; Hasna Luthfiah Fitriani; Melasari Marantika; Dita Safira Salsabila; Lena Fitriyana; Febri Irwansyah
JKKI : Jurnal Kedokteran dan Kesehatan Indonesia JKKI, Vol 14, No 1, (2023)
Publisher : Faculty of Medicine, Universitas Islam Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20885/JKKI.Vol14.Iss1.art10

Abstract

Background: Obesity is one of the cardiovascular disease risk factors that cause hypertrophy or hyperplasia of adipocytes. Changes in fat cells have the potential to increase inflammation and insulin resistance. Objective: This study aims to determine the effects of high glucose, egg yolk consumption, calorie restriction, and air pollution on body weight, cell size, and fat tissue weight in rats. Methods: The type of study is experimental and conducted for six weeks. Thirty white male rats were divided into five groups: sugar-treated group, egg yolk-treated group, restricted calorie intake-treated group, air pollutant-treated group, and control group. The cell size and weight of adipose tissue were obtained from abdominal and supraclavicular fat samples.Results: High glucose, egg yolk consumption, air pollution exposure, and calorie restriction were affected by increases in body weight, cell size, and adipose tissue mass (p < 0.05). The cell size and weight of adipose tissue have a negative effect on body mass index. Nevertheless, dietary intervention studies have shown that the size of fat cells decreases after calorie restriction-induced weight loss. Conclusion: The body weight, cell size, and adipose tissue weight of the rats were affected by a high sugar intake, egg yolk consumption, calorie restriction, and exposure to air pollution.
Technomedicine 5.0: The art of metaverse in healthcare Dito Anurogo
JKKI : Jurnal Kedokteran dan Kesehatan Indonesia JKKI, Vol 14, No 1, (2023)
Publisher : Faculty of Medicine, Universitas Islam Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20885/JKKI.Vol14.Iss1.art1

Abstract

Detecting miRNAs expression as the early prognostic factor for patients with colorectal cancer in Dr. Sardjito Hospital Yogyakarta : A preliminary study Adeodatus Yuda Handaya; Didik Setyo Heriyanto; Hendra Susanto; Yudi Susanto; Kamal Agung Yudayana; Ida Ayu Setyawati Sri Krisna Dewi; Aditya Rifqi Fauzi; Joshua Andrew; Kevin Radinal; Azriel Farrel Kresna Aditya
JKKI : Jurnal Kedokteran dan Kesehatan Indonesia JKKI, Vol 14, No 2, (2023)
Publisher : Faculty of Medicine, Universitas Islam Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20885/JKKI.Vol14.Iss2.art9

Abstract

Background: Colorectal cancer (CRC) is the third highest-ranked cancer and causes high mortality in patients with a low survival rate. The lack of sensitivity and specificity of clinical and other diagnostic modalities results in a higher mortality rate. Therefore, the exploration of potential early biomarkers for CRCs is necessary.Objective: We aimed to evaluate the local expressions of potential tumor suppressor and oncogenic miRNAs in CRC patients in Indonesia. Methods: This retrospective cohort study involving thirty-one colorectal carcinoma patients at Dr. Sardjito Hospital Yogyakarta from January 2014-December 2017. Total RNA was isolated, and the expressions of miR-21, miR-92a, miR-96, miR-26b, miR144, and miR-195 were measured by real-time quantitative PCR. The correlation between miRNAs and other predictors was determined by Spearman correlation, and the association of miRNA expression and other clinical parameters used logistic regression.Results: The local expression of miR-195 decreased significantly in the tumor sites. In contrast, miR-21 activity tends to increase in the local tumor. Meanwhile, the expressions for miR-92a, miR-96, miR26b, and miR-144 in the same subjects were non-significant. MiR-195 was also significantly associated to cancer stage (r=-0.570, p=0.001) with significant odds ratio (OR=0.892, 95% CI=0.804–0.990, p=0.031).Conclusion: Our study was the first to report aberrant expressions of miRNA-21, miRNA-195, miRNA-92a, miRNA-26b, miRNA-96, and miRNA-144 in Indonesian CRC patients. The tumor suppressor miRNA-195 expression was superior among others to serve as an early biomarker in detecting and predicting CRC disease progression.
Studi Literatur: Bioaktif Tanaman Mengkudu (Morinda citrifolia L.) sebagai Antikanker Herbal Oktavia Beni Kujariningrum; Sri Winarni; Kharisma Olivia Anugrah Cahyani; Nadia Puji Anggitasari; Waviq Azizah
JKKI : Jurnal Kedokteran dan Kesehatan Indonesia JKKI, Vol 14, No 2, (2023)
Publisher : Faculty of Medicine, Universitas Islam Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20885/JKKI.Vol14.Iss2.art10

Abstract

In Indonesia, the noni plant (Morinda citrifolia L.) has gained popularity as an alternative treatment for various diseases. Cancer is the second cause of death worldwide, with chemotherapy as the primary treatment. There is growing interest in exploring phytochemicals found in noni plants such as anthraquinones, chitosan, phenols, and flavonoids. These antioxidant compounds hold potential as alternative treatments for cancer. This study explores the active compounds in noni plants that exhibit anti-cancer properties. This study employed a scoping review approach. Previous original articles were retrieved from Scopus, Science Direct, ClinicalKey, Springer Link, and Google Scholar with keywords in Morinda citrifolia L., component, bioactive, antioxidant, anti-inflammatory, and anti-cancer. We included 34 articles that met the inclusion criteria. The findings of this study highlight the anti-cancer activity of several phytochemicals found in noni plants. Damnacanthal has been shown to reduce the number of MCF-7 cells. Nordamnacanthal inhibited the development of the H400 cell cycle by increasing the activity of Cytochrome C, Caspase-9, and Caspase 3/7 and induced the death of MDA-MB231 and MCF-7 cells. Chitosan nanoparticles can inhibit the growth of A549 cells. Scopoletin can inhibit cancer cell proliferation by inducing cells in the G0 / G1 and S phases. Epicatechin can inhibit the growth of PC-9 cells. Damnachanthal, nordamnacanthal, chitosan nanoparticles, scopoletin, and epicatechin are active compounds presented in noni plants that can act as anti-cancer.
Le Fort I and nasal fracture, primary reduction, and secondary revision saddle nose: A case report Al Hafiz; Wahyu Julianda
JKKI : Jurnal Kedokteran dan Kesehatan Indonesia JKKI, Vol 14, No 2, (2023)
Publisher : Faculty of Medicine, Universitas Islam Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20885/JKKI.Vol14.Iss2.art14

Abstract

Maxillofacial trauma is a common clinical situation in emergency rooms. Lesions involving the maxillofacial complex pose a significant public health challenge, not only due to their costs but also because of the potential functional and aesthetic issues that patients may experience. While some fractures are more suitable for delayed treatment, others necessitate immediate attention, requiring intervention within 24 hours of the trauma occurrence. Different types of reduction and fixation exist depending on the patient’s age, location, type of fracture, and the surgeon’s preferences. We reported a case of a 20-year-old female patient diagnosed with Le Fort I bilateral fracture and closed nasal fracture followed by saddle nose. The patient was managed with open reduction internal fixation and closed reduction nasal bone. The saddle nose in the patient was managed four months later by augmentation rhinoplasty with rib cartilage and pearl fat graft. Proper management of Le Fort I fracture and nasal fracture accompanied with saddle nose by open reduction internal fixation and augmentation rhinoplasty with rib cartilage and pearl fat graft can restore occlusion and improve symmetrical, proportional facial aesthetics, which is the indicators of a successful holistic maxillofacial trauma management.

Page 36 of 47 | Total Record : 468

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